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H. PREPAkER S\ is o..170Net.- 6 3 `p SS c CS rfUT'et •
Preparer of the Sales Disclosure Form Title ` on C W
Abbigail Moers Escrow Officer
Company
(IAA" A
Address(number and street, city.state,country and ZIP code) C •
605 SE Martin Luther King Jr Boulevard. Evansville IN United States of America 47713 ( 1(v I s ntf' - -N -t_ le*.
I. SELLER(S)IGRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as it appears on conveyance document
FREEDOM MORTGAGE CORPORATION,XOME REALTY 2 '7„ 2. i
SERVICES, LLC, its attorney-in-fact
Address(number and street) Address(number and street)
951 Yamato Rd.,Suite 175
City.State and ZIP Code City,State and ZIP Code
Boca Raton, FL 33431 ,
Country Country
United States of America
Sales Disclosure,to the best of my knowledge an b ' is true,correct and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and i e ti a falsifies the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 fe n
Signature of Seller Signature of Seller
Printed Name of Seller Date signed(mm/dd/yyyy) Printed Name of Seller FCag O ate signed(mm/dd/yyyy)
FREEDOM MORTGAGE
CORPORATION,XOME REALTY s 2024-t
SERVICES, LLC,its attorney-in-fact 0/e
J. BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY AL
0
Buyer 1 —Name as it appears on conveyance document Buyer 2—Name as it appears o _ ent
Kathryn Caldwell Melanie J. Masunas 0
Address(number and street) Address(number and street)
22 CR 9093 9 Tungley Wood (—..)\
City,State and ZIP Code City,State and ZIP Code
Flat Rock.AL 35966 Estancia, NM 87016
Country Country
United States of America United States of America
YES, NO CONDITION YES NO CONDITION
19/ DI 1. Will this property be the buyer's primary residence? C / ❑ 3. Homestead
❑ 0 4. Solar Energy Heating or Cooling System
0 i 2. Does the buyer have a homestead to be vacated for this ❑ p 5. Wind Power Device
residence'? If yes,provide address:
❑ El 6. Hydroelectric Power Device
Address(number and street) ❑ El 7. Geothermal Energy Heating or Cooling Device
City.State,ZIP code,and county
a6 - TT- Z9 - ion - Go ---. s s -0Z1 .
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct and complete
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